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Home My WebLink AboutZ-10570FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ................................................ Location of Property 3785 Oregon Road~ Mattituck, New York House No, Street Hamlet County Tax Map No. 1000 Section ....9.~ ....... Block .... .3 .......... Lot .... .~ ............ Subdivision ............................... Filed Map No ......... Lot No .............. . r.~quir~menta° for a one family dwelling built prior to conforms substantially to me A~i/ea~km-mr'l~flSing'Pelqlrie'llel~d~l~fll~ilqff'll~'~Tfi~a~-'- April 23 ,19.5.7. pursuant Certificate of OccupancYZl0570 ..................... to ~,l'u'6 It '~'m'l ;ITR ~ Pgr~n'if'l~.- T .- ................... dated .... J.~. ~:y..1.3. ~ . .1.9.8.1. ......... 19... , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Private One-Family Dwelling with Seven Accessory Structures. The certificate is issued to Marcella Zimnoski (owner, Ic~t~'ff~'~r~l'R~'- of the aforesaid building. N/R Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ...... .M/.R. ........................................ Building Inspector Rev. 1/81 BUILDING DEPAP, Tr,tENT TO¥,T~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 3?85 Oregon Road, Mattituck, New York ~nu~ber & street) (Municipality) Subdivision ~lap No. .Lot(s) Name off OYmer(s) Marcella Occupancy R-1 (type) Admitted by: Mrs. Zimnoski Zimnoski Owner (owner-tent',t) Same Accompanied by: Key available Suffolk Co. Tax No..94-3-~ Source of request William Wickham DateJUly 2, 1981 DYFELLING: Type of construction Foundation Brick & Total rooms, 1st. F1 Bathroom(s) 1 Porch, type Wood, Breezeway Type Heat Oil Fired Fireplace(s). Domestic hotwater Other roof Wood Framed Poured Cemen~ellar 5 2nd. F1 Toilet ovelFeck, type Garag~ Warm Air No. Exits Yes #stories Parti~rawl space 2 3rd. F1 room(s) Patio, typ~ Utility room ~.~xxx Steam Airconditionin~ TYPe heater Tankless Rest ACCESSORY STRUCTL~ES: Darage, type const. Swimming pool Other 7 ~ccessory Structures storage, type const. Guest, tYPe const. as per lists VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. 1. Small Wood Storage 2. Sprout House Wood _3. Pump House Wood 4. Out House - Wood 5. Two Car Garage - Wood , I 6. Corn Crio wood 7, Large Storage Barn, '~ood ... Cellar Some Floor joints dry rotted III 52-30-; ~qt,~i~ ,In P~ls Loose II 52-27-I Pump Ilous ,~ .... ~ ~epa~ h~dlv~ ITT 52-31-~ A,B,C. Remarks: T~me start 2:15' Curtis W. Horton Inspected by: July 8, 1981 end 2:45 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion requ ired to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1 o00 $5.00 Date ...~ .u3;.~Z .~. ~. 1,9.8.1. ........... New Building ............. Q~i or, l,~re-existiRg Bui[dinq ...~. ........ Vacant Land 5 es oe ce & u_ L mgs) ............. Location of Property .~O~-ff.-t~ .side .Oregon .Boad, ..... Mattit.~ck, .NY ......................... House No. Street Hamlet Owner or Owners of Property . . .~..T?..~..Z~]...OS...Y~. ........................................ County Tax Map No. 1000 Section . .0.9.4...0.0. ....... Block . .0.3.;0.0. ........ Lot..0.0.2...0.0.0 ....... Subdivision ................................. Map No ............... Lot No ............... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Re uestforTem orar Certifi ate q p y c ..................... ff~na ~ertmcate .................... Fee ' 5.00 Submitted $ .............................. Construction on above described building and per~t ~ets~ a~lic~e ~de~nd reaulations. Applicant .... ~~~/. ' ~'~ /ep